Unique ID issued by UMIN | UMIN000019235 |
---|---|
Receipt number | R000022231 |
Scientific Title | Effects of splinting for Mallet Finger of the Tendon Origin |
Date of disclosure of the study information | 2015/10/10 |
Last modified on | 2015/10/05 12:52:30 |
Effects of splinting for Mallet Finger of the Tendon Origin
Effects of splinting for Mallet Finger of the Tendon Origin
Effects of splinting for Mallet Finger of the Tendon Origin
Effects of splinting for Mallet Finger of the Tendon Origin
Japan |
mallet finger of tendon origin
Orthopedics | Rehabilitation medicine |
Others
NO
We investigated the efficacy of two-step splinting to treat mallet finger of tendon origin, with the first splint immobilizing the finger with the proximal interphalangeal (PIP) joint flexed and the distal interphalangeal (DIP) joint slightly extended, followed by a second splint immobilizing it with the DIP joint extended.
Efficacy
Confirmatory
Not applicable
Assessments were carried out twice: an initial assessment at the first visit, and another at the end of treatment in week 16. The following items were compared between patients in the control group and those treated by two-step splinting: (1) sex, (2) age, (3) injured finger, (4) range of motion (ROM) of active flexion of the DIP joint at the first visit, (5) ROM of active flexion of the DIP joint at the end of treatment, (6) ROM of active extension of the DIP joint at the start of immobilization, (7) ROM of active extension of the DIP joint at the end of treatment, (8) visual analog scale (VAS) pain score at the first visit, (9) VAS pain score at the end of treatment, and (10) outcome (three-grade evaluation according to Abouna and Brown's criteria.
Interventional
Parallel
Randomized
Individual
Open -but assessor(s) are blinded
Active
NO
NO
Institution is not considered as adjustment factor.
NO
No need to know
2
Treatment
Device,equipment |
Patients were divided into two groups, a control group that underwent conventional immobilization with the DIP joint slightly extended,
and a two-step immobilization group that underwent treatment with an initial first splint that immobilized the finger with the PIP joint flexed and the DIP joint slightly extended, followed by a second splint that immobilized the DIP joint slightly flexed in the conventional manner.
Not applicable |
Not applicable |
Male and Female
Inclusion criteria were mallet finger with or without fracture, age 18 years or greater, and treatment with a period of continuous orthosis immobilization for 6 weeks or 8 weeks.
Exclusion criteria included open lesions, mallet fractures with subluxation of the distal interphalangeal joint (DIP), with delayed treatment of more than 2 weeks,
40
1st name | |
Middle name | |
Last name | Kazuo Saito |
Fuchinobe General Hospital
The departments of Rehabilitation Center
3-2-8 Fuchinobe, Chuo-ku, Sagamihara, Kanagawa
042-754-2222
kasuo_saitoh@yahoo.co.jp
1st name | |
Middle name | |
Last name | Kazuo Saito |
Fuchinobe General Hospital
The departments of Rehabilitation Center
3-2-8 Fuchinobe, Chuo-ku, Sagamihara, Kanagawa
042-754-2222
kasuo_saitoh@yahoo.co.jp
Fuchinobe General Hospital
Fuchinobe General Hospital
Other
NO
2015 | Year | 10 | Month | 10 | Day |
Unpublished
We found that both, the angle of extension of the DIP joint and pain improved significantly by the end of treatment for all patients in both groups (p<0.001). A comparison between the two groups showed a greater improvement in both, DIP joint extension angle and outcome criteria among patients treated with two-step splinting (p<0.010, p< 0.011).
Completed
2011 | Year | 05 | Month | 01 | Day |
2011 | Year | 05 | Month | 01 | Day |
2014 | Year | 07 | Month | 01 | Day |
2014 | Year | 07 | Month | 01 | Day |
2014 | Year | 07 | Month | 01 | Day |
2015 | Year | 07 | Month | 01 | Day |
Our study thus suggested that the initial immobilization involved in two-step splinting and is thus a good immobilization technique.
2015 | Year | 10 | Month | 05 | Day |
2015 | Year | 10 | Month | 05 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000022231